DCA18CA001

NTSB accident investigation · Boeing 737 7H4 · Chicago, IL · October 2, 2017

Accident · No injuriesData collectionFinal report
Date
October 2, 2017, 08:40 local (13:40 UTC)
Place
Chicago, IL
Injuries
84 uninjured
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N930WNBoeing 737 7H4
Defining event
Prior to flight: Ground handling event
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2020
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
20171002014309A
Case key
96133

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

the mechanical failure of the tugs fuel governor, which made it difficult for the ramp agent to stop the tug. Contributing to the accident was the lack of guidance on how ground personnel were to handle vehicle malfunctions.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

LoadingAircraft › Aircraft handling/service · Not serviced/maintainedBoeing 737-7H4: 1 caseAll aircraft: 35 casesProbable cause
Training: initial trainingOrganizational issues › Support/oversight/monitoring · Training organizationBoeing 737-7H4: 1 caseAll aircraft: 15 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

On October 2, 2017, at about 0840 CDT, Southwest Airlines flight 681, Boeing B737-700, N930WN, was struck by an unmanned tug while boarding was ongoing at Chicago Midway Airport (KMDW), Chicago, Illinois. There were no injuries to the 84 passengers and crew onboard. The airplane received substantial damage to the lower fuselage skin, frames and stringers over an area about 3 feet by 3 feet. The flight was operating under 14 Code of Federal Regulation Part 121 as a scheduled passenger flight from KMDW to Omaha Airport (KOMA), Omaha, Nebraska. A ramp agent was driving a covered baggage tug with two baggage carts in tow between Gates B22 and B24 when the tug made contact with two staged baggage carts. The ramp agent jumped off the tug as the tug continued to accelerate forward. The now unmanned baggage tug struck additional ground support equipment before striking the fuselage of the accident airplane at Gate B22. The ramp agent stated afterwards that he could not get the tug to stop and thought running the tug into the staged baggage carts would stop or at least slow the tug down. Examination of the baggage tug after the event revealed there was a mechanical failure of the fuel governor which resulted in the runaway. The runaway could have been stopped by either turning the ignition key off or using the manual shut down lever on the front cover. There was no guidance in the Ground Operations Training Manual related to how ramp personnel should handle mechanical failures of ground support equipment.

Factual narrative

On October 2, 2017, at about 0840 CDT, Southwest Airlines flight 681, Boeing B737-700, N930WN, was struck by an unmanned tug while boarding was ongoing at Chicago Midway Airport (KMDW), Chicago, Illinois. There were no injuries to the 84 passengers and crew onboard. The airplane received substantial damage to the lower fuselage skin, frames and stringers over an area about 3 feet by 3 feet. The flight was operating under 14 Code of Federal Regulation Part 121 as a scheduled passenger flight from KMDW to Omaha Airport (KOMA), Omaha, Nebraska. A ramp agent was driving a covered baggage tug with two baggage carts in tow between Gates B22 and B24 when the tug made contact with two staged baggage carts. The ramp agent jumped off the tug as the tug continued to accelerate forward. The now unmanned baggage tug struck additional ground support equipment before striking the fuselage of the accident airplane at Gate B22. The ramp agent stated afterwards that he could not get the tug to stop and thought running the tug into the staged baggage carts would stop or at least slow the tug down. Examination of the baggage tug after the event revealed there was a mechanical failure of the fuel governor which resulted in the runaway. The runaway could have been stopped by either turning the ignition key off or using the manual shut down lever on the front cover. There was no guidance in the Ground Operations Training Manual related to how ramp personnel should handle mechanical failures of ground support equipment.

Aircraft

Registration
N930WN
Reported as
Boeing 737 7H4 (7H4)
Category
Airplane
Serial number
36636
Built
2009
Airframe hours
30,104
Engines
CFM International CFM56-7B24, turbo fanCFM International CFM56-7B24, turbo fan
Damage
Substantial damage
Flight
Part 121
Operator
Southwest Airlines
Registered owner
Wells Fargo Bank Northwest Na Trustee
Airworthiness certificate
Standard, Transport
Last inspection
September 27, 2017
Departed
KMDW · Chicago, IL
Destination
KOMA · Omaha, NE
Flight plan
IFR
Airport
KMDW · Chicago Midway International A
Equipment
Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, Data recorder, Heads up display, Onboard weather, Stall warning system

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 9 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft broken
Temperature
68 °F, dew point 52 °F
Altimeter
30.19 inHg
Observed at
KMDW

Docket · 2

The files NTSB released with the investigation on July 14, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.9 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.